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Dialysis access (AV fistula) in Montana: what insurers pay

Posted commercial rates at 5 Montana hospitals, each next to its own Medicare base rate.

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CPT 36821

HospitalMedian across insurers× MedicareInsurersFile date
St Peters Health Helena$6,1811.9×192026-03-31
Intermountain Health St Vincent Regional Hospital Billings$6,5012.0×82026-03-22
Intermountain Health St James Hospital Butte$6,6102.0×32026-03-22
Logan Health Medical Center Kalispell$9,0322.8×12026-04-01
Providence St Joseph Medical Center Polson$9,7203.0×12026-04-01

CPT 36818

HospitalMedian across insurers× MedicareInsurersFile date
St Peters Health Helena$6,1811.1×192026-03-31
Intermountain Health St Vincent Regional Hospital Billings$10,9921.9×82026-03-22
Intermountain Health St James Hospital Butte$11,3522.0×32026-03-22
Logan Health Medical Center Kalispell$15,9182.8×12026-04-01
Providence St Joseph Medical Center Polson$16,7713.0×12026-04-01

Questions

How much do insurers pay for dialysis access (av fistula) in Montana?

5 Montana hospitals post usable commercial rates for dialysis access (av fistula) in their federal price-transparency files. For CPT 36821, hospital outpatient, the median across 5 hospitals is $6,610, 2.0× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.